患有潜在精神疾病的患者的故意外体摄入:一项回顾性多中心研究
概括
蓄意外体摄入 (DFBI) 是心理健康患者面临的越来越大的挑战,通常涉及经常性住院和需要内镜干预. 为了有效的协作管理策略,需要进一步的研究.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 蓄意的外体摄入 (DFBI) 经常在患有心理健康状况,智力障碍的患者和惩戒设施中观察到.
- 这些患者经常出现反复发作,对医疗保健系统构成重大挑战.
研究的目的:
- 描述患有DFBI和心理健康状况的患者的特征.
- 评估为这些患者提供的护理.
主要方法:
- 在2013年1月至2020年9月期间,在澳大利亚三家医院进行了尝试外体检索的成年患者的回顾性审查.
- 纳入标准要求有记录的精神健康诊断. 收集的数据包括病史,人口统计,并发症和内镜检查结果.
主要成果:
- 35名患者占166例入院病例,其中超过一半的病例重复出现.
- 边界性人格障碍 (BPD) 在三分之二的队列中被诊断出.
- 平均每次摄入3.3个外体,其中76.5%需要内镜干预. 在研究期间,入院病例呈现出越来越大的趋势.
结论:
- 精神健康患者的DFBI是一个常见的,反复出现的,不断升级的问题.
- 这些发现凸显了合作研究的必要性,以指导这种复杂的患者群体的综合管理策略.
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